Mark S Ryan, MD | |
200 North St, Suite 101, Geneva, NY 14456-1561 | |
(315) 787-5100 | |
(315) 787-5108 |
Full Name | Mark S Ryan |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 200 North St, Geneva, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679667513 | NPI | - | NPPES |
1072637 | Medicaid | NY | |
164272-7 | Other | NY | WORKERS COMP |
102496BJ | Other | NY | PREFERRED CARE |
P00003457 | Other | NY | R.R. MEDICARE |
2593569 | Other | NY | GHI |
P010164272 | Other | NY | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 164272 (New York) | Primary |
Entity Name | Western New York Medical Practice Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598 |
Mailing Address | Practice Location Address |
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Mark S Ryan, MD 200 North St, Suite 101, Geneva, NY 14456-1561 Ph: (315) 787-5100 | Mark S Ryan, MD 200 North St, Suite 101, Geneva, NY 14456-1561 Ph: (315) 787-5100 |
Amanda Laine Bennett, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 200 North St Ste 101, Geneva, NY 14456 Phone: 315-787-5175 | |
Dr. William Porter Welbourne, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 200 North St, Suite 102, Geneva, NY 14456 Phone: 315-787-5400 Fax: 315-787-5475 | |
Angel A. Diaz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 821 Pre Emption Rd Ste 300, Geneva, NY 14456 Phone: 315-787-5310 Fax: 315-787-5314 | |
Rachael Beth Johengen, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 196 North St, Geneva, NY 14456 Phone: 315-787-4000 | |
Dr. Margaret Mary Ameyaw, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 196 North Street, Geneva, NY 14456 Phone: 315-787-4303 | |
Dr. Raquel Reyes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601b W Washington St, Geneva, NY 14456 Phone: 315-781-8448 Fax: 315-781-8444 | |
Dr. David Cywinski, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 Pre Emption Rd, Geneva, NY 14456 Phone: 315-798-5061 |